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<br /> <br />Z 465 72~ 179 <br />US Postal Service <br />Receipt for Certified Mail <br />No Insurance Coverage Provided. <br />DO not USe for Inlemallnnal Mail LSao rewrcnl <br />Sf~t3tern Mobile Southern, <br />Street 8 Number <br />Pos10h¢e. Stale, 8 ZIP ode <br />Postage g '7" <br />7 <br />Cenibed Fee <br />Speoal Delivery Fee <br />Resencted Delivery Fee <br />Relum Recefpl Showing to <br />Whom 8 Date Dedvered <br />j <br />Retum Recepl SMwig mYAOn, <br />Dale, 8 P04essee's AdJess . <br />TOTAL Postage 8 Fees <br />Posanark or Date _! <br />nc. <br />N <br />m <br />rn <br />n <br />Q <br />G <br />O <br />m <br />M <br />IL <br />(n <br />a <br /> I <br />m SENDER: I also wish to receive the follow <br />v <br />m ^ Ccmpiete items 1 anNOr 2 for addmanal services, ing services (for an extra lee): <br />d Complete tlems 3.4a, and 4b <br />I <br />~ <br />^' ^ Pnnt your name and atldre55 on the reverse OI Ihis form so Thal we can return Ines 7 <br />' Yi <br /> cant to you. . ^ Addressee <br />s Address <br /> ^ Adach Ihis form to the !mm o1 the maJpiece. or on me back d space does not <br />r <br />a <br />2. ~ Restricted Delivery <br />N <br />m pe <br />m <br />^Wnra'Relum Receipt Repuesfed'on the mailpiece below the amCle number. <br />~ ^ The Remm Receipt will show to wham the article was delivered a nd the dale r1 <br />p delivered. m <br />u <br />y 3. Article Addressed to: 4a. Article Number <br />= Z 4E5 <br />720 179 <br />a W <br />t <br />bil <br />S <br />M <br />h <br />I <br /> es <br />ern <br />o <br />ern, <br />nc. <br />e <br />out i <br />T <br />E y <br />pe <br />4b. Serv <br />ce <br />$ 37325 E. HWy 96 (Gertified <br />^ Registered <br /> <br />~' <br />Vineland, ~~ 81006 (~ <br />^ExpressMail ^Insured ~ <br />N <br /> ^ Return Receipt for Merchandise ^ COD ~ <br />O <br />~ 7. Date of Delivery ~ <br /> 3 -z~+-oo r <br /> 5. Received By: (Prior Name B. Addressee's Address (Only i! requested and n <br /> , lee is paid) r <br /> <br />9 6. re or Agent) <br />T <br /> <br />N <br />tGr1-M./FF Cr,r .lG <br />PS Form 3811, December 1994 102595-99~B 0223 Domestic Return Receipt <br />